Active NPI
Raenah Campbell, MS, RDN, LDN
- Sports Dietetics Nutrition Registered Dietitian
- Northport, AL
National Provider Identifier
1518837152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Dietetics Nutrition Registered Dietitian
- License
- 5734
- Practice address
- 14110 Paul Howell Rd Unit 243
Northport, AL 35475-4695 - Phone
- (315) 436-9010
- NPI assigned
- Nov 8, 2025
- Last updated
- Nov 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | 5734 | AL | Primary |
Addresses
Primary practice location
14110 Paul Howell Rd Unit 243
Northport, AL 35475-4695
Mailing address
14110 Paul Howell Rd Unit 243
Northport, AL 35475-4695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5734 | AL | MD | Sports Dietetics Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762560000000",
"number": "1518837152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14110 PAUL HOWELL RD UNIT 243",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354754695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14110 PAUL HOWELL RD UNIT 243",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354754695",
"telephone_number": "315-436-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "RAENAH",
"credential": "MS, RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-08",
"last_updated": "2025-11-08",
"certification_date": "2025-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1501X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": "AL",
"license": "5734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northport, AL
- Greta Maria Burgess, CRNP
- Laken Patterson Burnette, MS, CCC-SLP
- Audra Leigh Busenlehner, M.D.
- John T Bush, C PED
- Deborah Lauren Byrd, LPC
- Ethan Canipe
- Capstone Chiropractic Center, P.C.
- Capstone Family Therapy Clinic
- Capstone Health Services Foundation PC (University Medical Center - Northport)
- Cardiology Associates of West Alabama, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.